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Related Concept Videos

Pulmonary Embolism I: Introduction01:29

Pulmonary Embolism I: Introduction

190
Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
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Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

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Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
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Pulmonary Embolism III: Nursing Management01:27

Pulmonary Embolism III: Nursing Management

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A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
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Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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Pneumothorax-II01:27

Pneumothorax-II

479
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
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Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

569
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
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A Porcine Model of Acute Autologous Pulmonary Embolism
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Submassive Pulmonary Embolism Complicating Small Bowel Obstruction.

Andrew Sagalov1, Sorcha Allen2, Omer Iqbal3

  • 1Internal Medicine, Arkansas College of Osteopathic Medicine, Fort Smith, USA.

Cureus
|September 17, 2021
PubMed
Summary

Managing pulmonary embolism (PE) with concurrent small bowel obstruction is complex. Treating the PE first improved hemodynamics, enabling subsequent life-saving surgery.

Keywords:
anticoagulationhemodynamicspulmonary embolism (pe)pulmonary embolism response team (pert)small bowel obstruction

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Area of Science:

  • Cardiology
  • Pulmonology
  • Gastroenterology

Background:

  • Pulmonary embolism (PE) management requires integrating physical exams, lab results, and imaging.
  • Comorbidities significantly complicate treatment decisions for PE patients.
  • Optimal surgical timing for patients with concurrent PE remains unclear.

Observation:

  • A case report details a patient with small bowel obstruction and submassive, intermediate-high-risk PE.
  • The patient required multiple interventions, each posing risks like bleeding or surgical complications.
  • The clinical scenario presented a challenge in balancing immediate life-saving treatments.

Findings:

  • Risk stratification is crucial for determining the need for invasive PE interventions.
  • The patient underwent PE treatment to stabilize hemodynamics and reduce clot burden before surgery.
  • This approach prioritized PE management to facilitate subsequent gastrointestinal surgery.

Implications:

  • This case highlights the importance of a multidisciplinary approach, such as a Pulmonary Embolism Response Team.
  • Early PE treatment can be critical for optimizing surgical candidacy in complex cases.
  • Further clinical data is needed to establish definitive guidelines for managing concurrent PE and surgical emergencies.